Individual
SHELLI RAE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
214 BRECKENRIDGE LN STE 114, LOUISVILLE, KY 40207-3868
(502) 653-7211
(502) 416-0723
Mailing address
214 BRECKENRIDGE LN STE 114, LOUISVILLE, KY 40207-3868
(502) 653-7211
(502) 416-0723
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
272705
KY
101YP2500X
Professional Counselor
Primary
272705
KY
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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